BOURBON MEDICAL LAB & X-RAY
NPI 1245313246
Radiology - Diagnostic Radiology in Paris, KY

NPI Status: Active since October 23, 2006

Contact Information

2017 SOUTH MAIN
PARIS, KY
ZIP 40361
Phone: (859) 987-1665
Fax: (859) 987-3064

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  • Organization
  • Radiology
  • Diagnostic Radiology

About BOURBON MEDICAL LAB & X-RAY

This page provides the complete NPI Profile along with additional information for Bourbon Medical Lab & X-ray, a provider established in Paris, Kentucky operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1245313246 assigned on October 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 896 (KY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Bourbon Medical Lab & X-ray. The authorized official of this NPI record is Ms. Henrietta Ruth Grey Cls (Lab Manager)

NPI
1245313246
Provider Legal Name
VARGO ENTERPRISES INC
Other Organization Name
BOURBON MEDICAL LAB & X-RAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2017 SOUTH MAIN PARIS, KY 40361
Location Phone
(859) 987-1665
Location Fax
(859) 987-3064
Mailing Address
2017 SOUTH MAIN PARIS, KY 40361
Mailing Phone
(859) 987-1665
Mailing Fax
(859) 987-3064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
09-26-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
896
License State
KY
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

200122 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. HENRIETTA RUTH GREY CLS

Authorized Official Title
LAB MANAGER
Authorized Official Phone
(859) 987-1665

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9361501MEDICARE UPIN (02)KY 
4003101MEDICARE ID-TYPE UNSPECIFIED (04)KYLAB
4003101MEDICARE UPIN (02)KY 
9361501MEDICARE ID-TYPE UNSPECIFIED (04)KYX-RAY
86000916MEDICAID (05)KY 
37902483MEDICAID (05)KY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245313246
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228561628
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 1 + 6 + 2 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1245313246 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245313246, enumerated in the NPI registry as an "organization" on October 23, 2006

The provider is located at 2017 South Main Paris, Ky 40361 and the phone number is (859) 987-1665

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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